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早孕期维生素 A 水平与妊娠高血压疾病的相关性。

Plasma Levels of Vitamin A in Early Pregnancy and Correlationship with Hypertensive Disorder.

机构信息

Department of Obstetrics and Gynecology, The Capital Medical University Mi Yun Teaching Hospital, Beijing 100000, China.

Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China.

出版信息

Comput Math Methods Med. 2022 May 18;2022:3081720. doi: 10.1155/2022/3081720. eCollection 2022.

Abstract

Analyzing the vitamin A content in early pregnancy and finding out the relationship between the serum levels of vitamin A of pregnant women and hypertensive disorder A total of 4,188 pregnant women who had took part in vitamin A testing in Miyun District Hospital from November 2016 to March 2020 were collected. The serum levels of vitamin A were determined by high performance liquid chromatography, and clinical and testing data were collected for statistical analysis. The original data outcome was finally analyzed with the SPSS 266 Hypertensive disorder cases and 2836 normal pregnancy cases were analyzed with 27 cases of twin pregnancy, 315 cases without follow-up and 744 of diabetic pregnancies excluded. The 266 women were divided into four groups: 110 women were diagnosed gestational hypertension, 65 women were diagnosed preeclampsia, 78 women were diagnosed pregnancy with chronic hypertension, and 13 women were diagnosed chronic hypertension with preeclampsia. The results shows that vitamin A level of the hypertensive group was 0.46(±0.08) mg/L, 0.47 (±0.012) mg/L, 0.47 (±0.09) mg/L, and 0.52 (±0.012) mg/L, respectively, while the level of normal group was 0.44 (±0.09) mg/L. We found that there were differences between the normal pregnant group and the preeclampsia group with statistical significance ( < 0.05). The difference between the pregnancy with chronic hypertension group and the normal group was statistically significant ( < 0.05). The difference between the chronic hypertension with preeclampsia group and the normal group was also statistically significant ( < 0.05) Serum levels of vitamin A in early pregnant women have a certain correlation with the hypertensive disorder.

摘要

分析早孕妇女维生素 A 含量,探讨孕妇血清维生素 A 水平与妊娠期高血压疾病的关系。

收集 2016 年 11 月至 2020 年 3 月在北京市密云区医院参加维生素 A 检测的孕妇 4188 例,采用高效液相色谱法测定血清维生素 A 水平,收集临床及检测资料进行统计学分析。采用 SPSS26.0 对原始数据进行分析,最终排除双胎妊娠 27 例、失访 315 例、糖尿病妊娠 744 例,分析妊娠期高血压疾病患者 266 例,其中妊娠期高血压 110 例,子痫前期 65 例,妊娠合并慢性高血压 78 例,慢性高血压并发子痫前期 13 例。结果显示,高血压组维生素 A 水平分别为 0.46(±0.08)mg/L、0.47(±0.012)mg/L、0.47(±0.09)mg/L、0.52(±0.012)mg/L,正常组水平为 0.44(±0.09)mg/L。发现正常妊娠组与子痫前期组比较,差异有统计学意义(<0.05);妊娠合并慢性高血压组与正常组比较,差异有统计学意义(<0.05);慢性高血压并发子痫前期组与正常组比较,差异有统计学意义(<0.05)。提示早孕期孕妇血清维生素 A 水平与妊娠期高血压疾病存在一定相关性。

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